Application Form – Digital Rights School

Full name

Email

Contact

Age

18-24

25-35

Gender

Female

Male

Non-binary

Address

Province

District

Which Digital Rights and Safety School (DRS) event would you like to attend? Please select the event corresponding to your address.

Janakpur, Madesh Province

Biratnagar, Koshi Province

In which date you prefer to attain ? ( Select any one as per your location)

September 25 ( For Biratnagar)

September 26 ( For Biratnagar)

September 28 (Janakpur)

Affiliation (Educational Institution/Occupation)

Are you a Civil Society Representative?

Yes

No

Do you identify as a person with a disability?

Yes

No

Why Digital Rights and Safety School (DRS)? Describe your interest in attending the DRS. (200 words max)

What are your expectations from this event? (200 words max)

How do you plan to share the knowledge you gain through the Digital Rights and Safety School? (200 words max)

Do you believe that establishing a network of youths dedicated to this issue would be useful and/or necessary for knowledge sharing?

Yes

No

If such a network were established, would you be interested in joining it and continuing to engage on this topic?

Yes

No

By applying, I affirm the authenticity of the provided information and acknowledge that selection for the Digital Rights School is contingent upon a review process.

Apply